HomeMy WebLinkAbout00-9664
BUILDING PERMIT
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BUlL
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
09664
6/9/00
.
65.~
ELECTRICAL
Date
PLUM'ING
.so. V'
MECHANICAL
Sewer Conn
Water Conn:
Property Owner: s- '"" "l .f.r '4 r 1-, IJ (. lv./ f [0 ..... S}-
Job Address: '>'f ~ $; 6c..l , I? III c/.
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning: Energy Code:
Descriotion of Work '1.""\~; <.I.~ te ,""' 0 ('Ie/
Radon Gas:
b.A. I i:t .(> /()~. r
NO OCCUPANCY BEFORE C.O.
FINAL 11$-/ i:f-- '0
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector 7 ~
Permit Fee l...( ~ 'I. J V'
~ Signature ~-c./J r1~:7tA k .z-~
Company
Address
Valuation or
Contract Price
r-: eK_'
::> OJ 00(1
City License Registration #
State Certified License#
~ Telephone# 3~- 7 C;~., - 5? q 4-
~
~ l.t..se..J.er ~"'f-f. t11cL-eocJ [IRC
~
~ BUILDING J I ELECTRICAL (f 0<;'"
~ ~ 'V-'2.2-.O~ 5> R.....
~...... Ftr. p. Servo -/"'D;;;) SLB
Pre SLB Rough In c;'J~-<?J~ Tub Set
Lintel Meter Can Water
RM. l?,/~. t'O ffjg Const. Pole Sewer
['nsul. CL Pool Final
WL Pre-Meter
Final
Driveway Cll.n1v-L. ~ ~-31~oo3JL" fo.;Z-ot9 S ~
~ 9A..../)1? U-~.~ ~-0 ,lJtJJL
f~ q,;2-?-oCJ-:YfL
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ 25.001 shall be made for each trip for each trade:
He to
A.,. Cc~cI.
MECHANICAL ~., 5""0
PLU BING
Breakers
Ducts Insl. I O~ 2~OC> ~,<:;:.
Compressor
Final
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
SUNTRUST
(RENOVATIONS)
5435 GALL BLVD.
SQ. FEET PRICE
MAIN OR LIVING AREA $ 40.00
OTHER AREA UNDER ROOF $ 15.00
OTHER
VALUATION $ 50,000.00
FEE SHEET $ 270.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 405.00
CREDIT: $ 50.00
BUILDING LESS CREDIT: $ 355.00
ELECTRICAL: $ 69.34
PLUMBING: $ -
MECHANICAL: $ 50.00
RADON: $ -
TOTAL $ 474.34
SEWER:I $
WATER: $
TOTAL: $
3/4" WATER METER:I $
TIF'S'!'
99% $
1% $
TOTAL: $
474.341
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECE:IVED
PLANS REVJ:EW FEE
~un \f-\.I.~-t
JOB ADDRESS
S4:35
~LLt\
Na~te
,
13\,,<:\
Co a $+
'2.e 1'(''1'1. y f ~ \ \ '\ 'S
SUBDIVISION
PHONE
OWNER'S NAME
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
~TERATION
o REPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
~OMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
'REV'-" od. ~ \
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
)('BUILDING
)'( ELECTRICAL
o PLUMBING
~MECHANICAL $
o GAS 0 ROOFING 0 SPECIALTY
$
VALUATION OF TOTAL CONSTRUCTION
\:.;(15-\-""" ')
AMP SERVICE
o FLORIDA POWER
o
W.R.E.C.
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
BUILDER
SIGNATURE ~
t/
/7~
{~ 4P7~
[7
COMPANY La:S"e-\-e..r COI'\.~('VC\\o""l '\V\C-,
STATE CERT OR REGIST # C~<=. o5~cn (a
CITY PROCESSING # 2 7 t/q
******************************************************************
ELECTRICIAN
SIGNATURE (-/@.l?_____
Q77/~J2C~
COMPANY"" C'_ Le.od E:.' ec..:\- r \ c--, \ Y'\c... .
STATE CERT OR REGIST # j?/'l 0 00 5-7 Y L
CITY PROCESSING # ;' ':(., \- (") k
******************************************************************
PLUMBER
SIGNATURE
t-J/A
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
**********************#*******************************************
"""""""CAL . ~ ~ COMPANY Ale. Co A,r CO"~I honl~,
~af . STATE CERT OR REGIST # ;CUHt9n";Wr
SIGNATURE......X' ' ~/. CITY PROCESSING # 27)()
I~.
*****************************************************************
OTHER
t-J IA
.
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be required
to be licensed in accordance with state and local regulations. If the contractor is not
licensed as required by law, both the owner and contractor may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the ~Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the ~owner" prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit issued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
~-~'
s' R;:- GENT
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
~ ()~~44.~/
SI TURE: CONT OR
acknowledged
19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
acknowledged
19
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid []did not take an oath
o who has produced
(type
and whoD did 0 did not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
. BUILDING DEPARTMENT
DATE RECE:IVED
'PLANS REVJ:EW FEE
OWNER'S NAME
S\..\V'\ 'Tr l..\.::, +- N d\-u {' ~ Co -as-\-
./
PHONE
3S2.-'lQ(o-S\S
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
(ORTATN FROM PROPERTY TAX NOTICE)
WORK PROPSED: [JNEW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: [JSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
o MECHANICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: [J BLOCK
[J FRAME
[J STEEL
[J OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
BUILDER
SIGNATURE ~a~tAd.P::6.
COMPANY Lase+e c- Co,^~\ r...>c:\-, ,)of' l \ ""-L
STATE CERT OR REGIST # c e..co~ ~ q-H~
CITY PROCESSING #
******************************************************************
ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
* * * * * * * * * * *.* * * * ** * * * ** * * * * * ** ** * * * * * * * * *** ** ** * ***** *** * * **** * * ***
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS Of!' PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be required
to be licensed in accordance with state and local regulations. If the contractor is not
licensed as required by law, both the owner and contractor may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of ~Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the ~owner" prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be done in compl~ance with all applicable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill. material is to be used in Flood Zone ~A" or ~A, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit issued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2'~V~;:~ORO ANO POST A ~~Fl~C~~;~
S~, TURE: OWNEIL GENT S G URE: CONTRA~
STATE OF FL~IDA /_
COUNTY OF '-IA-1a.kf/'LC)
The foregoing in~rument was acknowledged
Be~~ me this qay of a,,?d- , ~ZtJOD
by ~~ ):Jnlli! LaSe.I-Lr
(name of person acknowledged)
Glwho is personally known to me, or
STATE OF FLORIDA 4 ~
COUNTY OF .//VIa/Vl ~
The foregoing ins9Fument w~ac~ledged
Befo~e_ this ~ of ':1./--'---"' , j$' ~l?O
by ~- ~~~/ A,r/
(name of person acknowledged)
~o is personally known to me, or
Dwho has produced
(type of identification)
and whoD did L!1-ctid not take an oath.
~&;j~A./:L ?7j;khJP
Sig ature of person taklng acknowledgement
o who has produced
(type of identification)
and who Ddid ~id not take an oath
'~~~AAA'J /J/J~A~~/
Signa~ure of erson taki g acknowledgment
Name typed, printed or stamped
$TB'HANI
Notay ~'!RIe-~ pr ted or stamped
cammISSIOn ecphIS Sep 1, 3m
fill ecmmlsslon * CC 869467
Permit No.
1111111111111111111111111111111111111 111I1111111111111111111
2000081884
Parcel ID No. 11-26-21-0010-09900-0010' ,. -
NOTICE OF COMMENCEMENT
STATE OF FLORIDA
COUNTY OF Orange
)
)
Rcpt: 421335
os: 0.00
07/14/00
Rec: 6.00
IT: 0,00
Dpty Clerk
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real
property and, in accordance with Chapter 713, Florida Statutes, the following information is
provided in this Notice of Commencement. JEO PITTMAN PASCO COUNTY CLERK
07/14/00 12:15pm 1 of 1
ZHMB OR BK 4403 PG 872
1 Page 54 Lots 1 To 24 IncI & N 1/2 of
that certain alley dividing Blk 99
1.
Legal Description of Property:
2.
General description of improvements:
Interior Remodel
3.
Owner Name & Address:
SunTrust Bank
135 W. Central Blvd., Suite # 300
Orlando, Florida 32801
AUn: Ben Kraljev
a.
Interest in property:
Fee Simple
b. Fee simple Titleholder(if other than owner): NI A
4.
Contractor Name & Address:
Laseter Construction, Inc.
1020 East Jefferson Street R' ,
Brooksville, Florida 34601. '.
AUn: Lois Anne Laseter
5.
Surety Name & Address:
Hilb, Rogal & Hamilton Company
P.O. Box 538200
Orlando, Florida 32853-8200
AUn: Greg MacKenzie
N/A
6.
Lender Name & Address:
7. Person(s) within the State of Florida designated by Owner upon whom notices, or other
documents, may be served as proyided by Section 713.13(1) (a)7, Florida Statutes
(name and address:
Same as # 3
8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as
provided in Section 713.13(1) (b), Florida Statutes.
Same as # 4
9. Expiration date of Notice of Commencement (expiration date is one( 1) year from date
of recording, unless a different date is specified):
TIllS DOCUMENT WAS PREPARED' BY:~c}':: <<;; ..:-
~REOF OWNER'S REPRESENTATIVE
Sworn to, and subscribed before me, this /ifwday of~\..'t, ~w.
NOTARY PUBLIC
, ~~lt::t~
07/12/00 - Notice ofCommencemenl
"..,.~ Michelle L 'nar-m
*~*My COIMlIsslon CC809085
~.~ ExpIres Februl/}' 14, 2003